DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bass, Michael	DOIID	972878	NAIC NPN	18556705

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/9/2024		8/31/2026
Inactive	Non Resident	Agent	Personal Lines	10/13/2017	5/28/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/12/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/23/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	10/12/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/5/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/23/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/12/2024
Active	Tier One Insurance Company	301056	Agent - Health	7/23/2025
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	10/19/2017	5/28/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/5/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/5/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Personal Lines	10/24/2017	5/28/2019